Removal of excessive skin and fat of upper eyelid
Medicare pricing data for 5,177 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of excessive skin and fat of upper eyelid (HCPCS code 15823) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $683.66, but hospitals typically charge $3,226 — a 4.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $683.66, your out-of-pocket cost would be approximately $136.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $540.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $867 | $3,416 | 13 | 112 | +26.8% |
| California | $817 | $3,801 | 571 | 10,769 | +19.5% |
| Massachusetts | $774 | $2,758 | 105 | 1,717 | +13.2% |
| Connecticut | $767 | $4,722 | 61 | 633 | +12.2% |
| Alaska | $766 | $6,242 | 20 | 181 | +12.0% |
| Oregon | $750 | $2,998 | 106 | 1,380 | +9.7% |
| Rhode Island | $731 | $2,717 | 4 | 63 | +6.9% |
| New York | $730 | $4,093 | 202 | 2,261 | +6.7% |
| West Virginia | $727 | $2,359 | 28 | 258 | +6.4% |
| Washington | $720 | $2,075 | 116 | 3,216 | +5.4% |
| Illinois | $711 | $3,846 | 140 | 1,801 | +4.0% |
| Hawaii | $709 | $3,080 | 18 | 295 | +3.8% |
| New Jersey | $703 | $4,141 | 92 | 984 | +2.8% |
| Vermont | $701 | $2,211 | 5 | 198 | +2.5% |
| Nevada | $698 | $3,023 | 29 | 808 | +2.1% |
| Wisconsin | $696 | $6,054 | 96 | 1,216 | +1.8% |
| Virginia | $696 | $2,602 | 126 | 2,027 | +1.8% |
| Delaware | $694 | $4,310 | 16 | 812 | +1.6% |
| Indiana | $694 | $5,856 | 87 | 1,346 | +1.5% |
| Kentucky | $690 | $3,278 | 50 | 785 | +1.0% |
| Wyoming | $688 | $2,017 | 9 | 63 | +0.6% |
| Michigan | $685 | $2,653 | 169 | 2,767 | +0.2% |
| Maryland | $685 | $2,469 | 112 | 2,067 | +0.2% |
| New Hampshire | $681 | $3,667 | 17 | 555 | -0.4% |
| Texas | $680 | $4,363 | 365 | 7,284 | -0.5% |
| New Mexico | $678 | $2,117 | 15 | 151 | -0.8% |
| Colorado | $673 | $3,163 | 92 | 2,058 | -1.6% |
| North Carolina | $672 | $2,598 | 137 | 4,331 | -1.7% |
| Florida | $672 | $2,533 | 484 | 13,542 | -1.7% |
| Iowa | $670 | $3,690 | 62 | 1,420 | -2.0% |
| Arizona | $669 | $2,968 | 101 | 4,369 | -2.2% |
| Pennsylvania | $664 | $3,222 | 242 | 3,532 | -2.8% |
| Missouri | $664 | $3,056 | 112 | 2,252 | -2.8% |
| Nebraska | $664 | $2,578 | 41 | 1,217 | -2.9% |
| Georgia | $663 | $5,309 | 139 | 3,141 | -3.0% |
| South Carolina | $662 | $2,882 | 109 | 2,740 | -3.1% |
| Louisiana | $656 | $2,957 | 58 | 1,104 | -4.1% |
| Montana | $651 | $2,279 | 25 | 654 | -4.8% |
| South Dakota | $650 | $2,430 | 30 | 1,157 | -4.9% |
| Ohio | $648 | $3,481 | 178 | 3,761 | -5.2% |
| Oklahoma | $643 | $3,394 | 71 | 2,847 | -5.9% |
| Maine | $640 | $2,463 | 14 | 417 | -6.3% |
| Kansas | $633 | $2,941 | 73 | 1,486 | -7.4% |
| Idaho | $633 | $2,170 | 50 | 840 | -7.4% |
| Alabama | $633 | $2,337 | 86 | 1,451 | -7.5% |
| Arkansas | $631 | $1,738 | 57 | 1,790 | -7.7% |
| Tennessee | $622 | $2,608 | 118 | 4,194 | -9.0% |
| North Dakota | $617 | $2,880 | 26 | 641 | -9.7% |
| Utah | $599 | $3,659 | 51 | 1,166 | -12.4% |
| Mississippi | $592 | $3,132 | 78 | 2,071 | -13.4% |
| Minnesota | $568 | $2,940 | 124 | 2,762 | -16.9% |
| Puerto Rico | $534 | $786 | 15 | 137 | -22.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber